Active NPI
Rehab Care
- Physical Disabilities Residential Treatment Facility
- Western Springs, IL
National Provider Identifier
1912394354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 146005881
- Legal business name
- REHAB CARE
- Practice address
- 5112 Johnson Ave
Western Springs, IL 60558-1913 - Phone
- (708) 772-8005
- NPI assigned
- Apr 23, 2015
- Last updated
- Apr 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stacy Falls
- Title
- Speech-Language Pathologist
- Phone
- (708) 772-8005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 146005881 | IL | Primary |
Addresses
Primary practice location
5112 Johnson Ave
Western Springs, IL 60558-1913
Mailing address
5112 Johnson Ave
Western Springs, IL 60558-1913
Phone (708) 772-8005
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429747200000",
"number": "1912394354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5112 JOHNSON AVE",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581913",
"telephone_number": "708-772-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5112 JOHNSON AVE",
"city": "WESTERN SPRINGS",
"state": "IL",
"postal_code": "605581913",
"telephone_number": "708-772-8005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-23",
"last_updated": "2015-04-23",
"status": "A",
"authorized_official_last_name": "FALLS",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "708-772-8005",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "IL",
"license": "146005881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Western Springs, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.